Video & Transcript : 'claims managers' :
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TX
Texas 89th Regular
S/C on Defense & Veterans' Affairs Apr 22nd, 2025
S/C on Defense & Veterans' Affairs
Committee:
House S/C on Defense & Veterans' Affairs
Keywords:
specialty license plates, military honor, Texas Homeland Defense Service Medal, Texas Superior Service Medal, Texas Outstanding Service Medal, Texas Medal of Merit, military honors, Lone Star Distinguished Service Medal, veterans, Texas Homeland Defense Medal, military, commemorative recognition, transportation code, claims assistance, disability benefits, court representation, legal services, naming, commemoration, local honor
TX
Transcript Highlights:
- We administer a claims warehouse where we have all of our medical and pharmacy claims.
- We do support the claims database.
- The LPR claims database does include claims data specific to nurses and physicians and to hospitals.
- IRS's claims, TRS's claims, and Medicaid's claims sit over in that all-payer claims database. that is
- I mean, this is claims data. Claims that the providers have. turn to us that we pay them.
Committee:
House Insurance
Keywords:
health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers
TX
Transcript Highlights:
- I want to touch a couple of things, one with regard to the All-Payer Claims Database.
- And I think there's some confusion amongst stakeholders as to whether or not the all-payer claims. database
- that lists out... the information that the APCD can pull from. only information that's include the claims
- I'm not sure, and again, it would be a question. for the APCD staff, whether they could use claims data
- employers because they could they would not have to pay claims within 45 days.
Committee:
House Insurance
Keywords:
health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers
AL
Alabama 2025 Regular Session
Alabama House Military and Veterans Affairs Committee Mar 19th, 2025
Military and Veterans Affairs
Committee:
House Military and Veterans Affairs
Keywords:
Alabama National Guard, National Guard legal services, legal assistance program, judge advocate, staff judge advocate, paralegal, military justice, military law, legal aid, preventive law, notary, notarial acts, Adjutant General, State Military Department, Office of General Counsel, Army Regulation 27-1, Army Regulation 27-3, Air Force Instruction 51-304, Air National Guard Instruction 51-504, Title 31
LA
Transcript Highlights:
- Talks about the filing, case management, and related technology.
- So what that means is this: We have a veteran who goes in to file his claim or her claim.
- Federal law is very clear: you cannot make money off of an initial claim.
- It allowed those claim sharks to make a lot of money.
- What is happening with these claim sharks is against federal law.
Bills:
HB302 , HB371 , HB597 , HB1097 , HB1190 , SB34 , SB164 , SB208 , SB232 , SB317 , SB357 , SB421 , SB510
Committee:
House Judiciary
Keywords:
legal representation, attorney general, elected officials, defense, legislative acts, judicial review, judiciary, election, judges, 19th Judicial District Court, East Baton Rouge, precincts, coroner, retention, body, mortuary, investigation, missing persons, Amber Alert, Endangered Missing Child Advisory
FL
Transcript Highlights:
- This is a settled claim with... Thank you, Mr. Chair.
- Michael Cantenz, representing PCMA, the Pharmaceutical Care Management Association.
- the extent of improper payments or the nature of enrollee claims.
- Under tab 20, we'll take up HB 5207 by the Department of Management Services.
- statewide Medicaid managed care can contract based solely on infant mortality.
Bills:
S0006 , S0026 , S0206 , S0532 , S0576 , S1012 , S1110 , S1178 , S1192 , S1758 , S1760 , S7046 , S7048
Committee:
Senate Appropriations
Keywords:
child welfare, negligence, settlement, injury compensation, Department of Children and Families, motorcycle accident, compensation, Department of Transportation, legal claim, autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment
Summary:
The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics.
Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived.
The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.
FL
Florida 2026 Regular Session
Governmental Oversight and Accountability Feb 11th, 2026
Governmental Oversight and Accountability
Transcript Highlights:
- required to deliberate litigation strategies in public during the 90-day pre-suit period in a Burt Harris claim
- Litigation strategies in public during the 90-day pre-suit period in a Burt Harris claim.
- , deputy city managers, and assistant city managers, as well as the names and telephone numbers and places
- It clarifies how public employers manage leave time for employees engaged in union-related activities
- I just want to say that I'm a project manager for the city.
Keywords:
public records, public meetings, property rights, transcripts, settlement negotiations, Veterans Day, K-12 schools, holiday observance, education, Florida statutes, cybersecurity, local government, grant program, data-sharing, Florida Digital Service, ransomware protection, county administrators, city managers, exemption, privacy
Summary:
The committee first heard a committee substitute for SB 332, which creates a narrow public meetings and public records exemption for certain pre-suit settlement communications in Bert Harris claims involving local governments and private property rights. The sponsor said the change is intended to allow confidential legal strategy and negotiation during the 90-day pre-suit period while keeping settlements and outcomes public. The strike-all amendment was adopted, supportive testimony was waived in, and the bill was reported favorably.
Members then approved several other measures, including SB 464 requiring K-12 schools to formally observe Veterans Day as a school holiday; SB 984 on firefighter cancer benefits and prevention, which was amended to add a statement of important state interest and reported favorably after testimony from firefighters both supporting the bill and urging a longer benefit window; SB 576 on local government cybersecurity, which was amended to route the program through the Florida Digital Service and strengthen state-local coordination; SB 964 clarifying how certain gift and honoraria disclosures are filed with the Commission on Ethics; SB 1612 requiring local governments to accept electronic payments with a delayed effective date; SB 830 creating public records exemptions for certain local government administrators and their families; SB 1096 clarifying the filing deadline for employment discrimination complaints; and SB 1656 designating the SS American Victory as Florida’s official state flagship. All were reported favorably.
The committee also considered a slate of appointments, including a separate vote on Jeffrey Aaron to the Public Employees Relations Commission, which was recommended favorably after Senator Polsky objected to the appointment and cited concerns about political ties and prior work. The remaining appointees on tabs 12 through 30 were also recommended favorably. After a recess, the committee took up SB 1296 on the Public Employees Relations Commission, as substituted by a committee PCS. The PCS would change union certification and recertification rules, require stronger showing-of-interest and voting thresholds, limit paid union leave in some cases, require equal access to employer communication spaces, and speed up impasse procedures for state-funded salary increases. The bill drew extensive testimony, with supporters arguing it would improve accountability, transparency, and taxpayer fairness, and opponents—many of them teachers, bus drivers, and other public employees—saying it would weaken collective bargaining, burden workers, and function as union busting. Members raised constitutional concerns about the single-subject rule and collective bargaining protections, and debate was ongoing at the end of the transcript.
OK
Committee:
Senate Public Safety
Keywords:
motor vehicle, accident, notification, liability, civil action, gender neutral, SB1456, Board of Tests for Alcohol and Drug Influence, sunset extension, sunset law, breath alcohol testing, DUI, DWI, drunk driving, drug testing, chemical testing, field sobriety, roadside screening, blood test, saliva test
Summary:
The committee first heard Senate Bill 1226 by Senator Rader, which would add property damage to the state’s leaving-the-scene statute so a driver who damages property and leaves would be treated similarly to a vehicle accident. After brief questions about whether the driver would need to wait for law enforcement or the property owner, the bill advanced unanimously, 6-0.
Several sunset-extension bills from Senator Burstrom were then considered. Senate Bill 1456 would extend the Board of Tests for Alcohol and Drug Influence to 2036 and passed 6-1. Senate Bill 1462 would extend the Oklahoma Organized Retail Crime Task Force to 2036; members questioned whether a task force created in 2023 needed such a long extension, but it still passed 6-2. Senate Bill 1463 would extend the Polygraph Examiners Board to 2036 and passed 8-1, with some members again objecting to the 10-year sunset length.
The committee also advanced Senate Bill 1980 by Senator Logan, which updates larceny and forgery language to cover gift cards, gift certificates, and redemption information when possessed or used with intent to defraud. Members pressed the author on whether the offense would be a misdemeanor or felony and on the bill’s scope, but the measure passed 7-2. Senate Bill 1479 by Senator Stewart, dealing with release of crime- and collision-scene information by first responders, was amended to strike the title after concerns about scope and private entities; it then passed 6-2. Senate Bill 1608 by Senator Frick, as amended, would make school location and employer information searchable in sex offender and violent offender registries, and it passed 6-2.
Finally, Senate Bill 1923 by Senator Murdoch would prohibit inmates from accessing social media, prompted by a constituent’s concerns about inmates contacting victims’ families through contraband cell phones. Members questioned whether the bill was necessary given existing DOC policies and whether it should address tablets as well; an amendment was withdrawn, and the bill passed 7-1. The committee also laid over Senate Bill 1612 and concluded its Public Safety agenda for the week.
TX
Texas 89th Regular
S/C on County & Regional Government Mar 31st, 2025
S/C on County & Regional Government
Committee:
House S/C on County & Regional Government
Keywords:
rural prosecution, salary assistance, staffing grant, legal support, criminal justice, fireworks, permit requirements, sale, county regulations, public safety, hospital district, administration, elections, director qualifications, public contracts, salary supplement, county judges, judicial functions, state law, government compensation
AZ
Arizona 2026 Regular Session
02/04/2026 - Senate Regulatory Affairs and Government Efficiency
Regulatory Affairs and Government Efficiency
Transcript Highlights:
- Kelsey: ...where they're able to claim that their jurisdiction before they take the test is Wisconsin
- It is actually managed out of Yuma by Annette, who runs the Yuma Humane Society.
- State Farm has those adjusters that adjust claims here and in every other state in the country.
- They are claiming that this bill is unsafe.
- They claimed this was to protect privacy and avoid discrimination, arguing that listing male or female
Keywords:
health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 15th, 2025
Health & Human Services
Transcript Highlights:
- Actually, 25% of those claims would go back over a year.
- Say that one more time. 25% of the claims would go back over a year.
- Yeah, and you can go all the way back to the beginning of the law on the mediation claims.
- You can go back to January 1 of 2020, and you can still submit a claim.
- So we could be here 20 years from now, and you could still be submitting a claim.
Bills:
SB623 , SB1266 , SB1310 , SB1373 , SB1580 , SB1952 , SB2032 , SB2269 , SB2544 , SB2653 , SB2796
Committee:
Senate Health & Human Services
Keywords:
pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges
TX
Texas 89th Regular
Senate Committee on Business and Commerce (Part II) Mar 27th, 2025
Business & Commerce
Transcript Highlights:
- My name is Robert McDormand, and I'm a claims specialist. I'm here representing our claims.
- Of these nine claims, we collected $41,000, which is an average of over $4,600 per claim.
- made a difference of over $5,000 on repair claims and almost $4,000 on total loss claims.
- on the management of those funds.
- Sometimes they even deny claims over that. and don't pay their claims.
Bills:
SB458 , SB819 , SB1238 , SB1642 , SB1643 , SB1644 , SB1791 , SB1810 , SB1824 , SB1825 , SB758 , SB1455 , SB1706
Committee:
Senate Business & Commerce
Keywords:
insurance appraisal, property insurance, auto insurance, homeowners insurance, residential property, disputed loss, loss valuation, appraisal clause, appraiser, umpire, Texas Department of Insurance, TDI, insurance dispute resolution, claims adjustment, total loss, windstorm insurance, FAIR Plan, surplus lines insurance, policyholder, insurer
AL
Alabama 2026 Regular Session
Alabama House Boards, Agencies and Commissions Committee Feb 25th, 2026
Boards, Agencies and Commissions
Transcript Highlights:
- Within those industries, you also have different employee functions, whether that's management, labor
- Within those industries, you also have different employee functions, whether that's management, labor
Committee:
House Boards, Agencies and Commissions
Keywords:
emergency medical services, military training, licensure, public health, veterans, health benefits, nonprofit organization, agriculture, insurance regulation, taxation, hospital liens, medical billing, government healthcare, insurance claims, patient rights, HB462, chiropractic, chiropractor, State Board of Chiropractic Examiners, professional licensing
OK
Oklahoma 2026 Regular Session
County and Municipal Government Feb 11th, 2026 at 03:00 pm
County and Municipal Government
Committee:
House County and Municipal Government
Keywords:
property rights, public nuisance, compensation claims, government enforcement, Oklahoma Safe Neighborhoods Act, public utility, municipal water, wastewater services, liability protection, third-party contractors, infrastructure maintenance, emergency response, regulatory compliance, animal welfare, pet shops, commercial breeders, county regulations, animal shelter licensing, county purchasing, procurement practices
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Jan 30th, 2026 at 08:00 am
Consumer Protection & Business
Transcript Highlights:
- this bill, but Section 31, of course, is of concern because cities need to have the authority to manage
- this bill, but Section 31, of course, is of concern because cities need to have the authority to manage
Committee:
House Consumer Protection & Business
Keywords:
kratom, consumer protection, regulation, health safety, substance control, infrastructure, protection, safety, security, state regulations, public health, tobacco regulation, smoking cessation, vapor products, health policy, youth prevention, pet insurance, insurance regulation, animal welfare, claims processes
AL
Transcript Highlights:
- In this case, when you're talking about retirement in the public setting, it's not yet a claim, and that's
Committee:
Senate Judiciary
Keywords:
hospital liens, medical billing, government healthcare, insurance claims, patient rights, controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, DUI, driving under the influence, drunk driving, fatal crash, vehicular homicide, child support, survivor benefits, orphaned child, guardian death
TX
Texas 89th Regular
S/C on Defense & Veterans' Affairs Mar 31st, 2025
S/C on Defense & Veterans' Affairs
Committee:
House S/C on Defense & Veterans' Affairs
Keywords:
Texas State Guard, task force, professionalization, state missions, critical infrastructure, veterans, veterans' affairs, mental health, community mental health, behavioral health, grant program, matching grant, non-state match, community services, family support, county population, Health and Human Services Commission, HHSC, public safety, homeland security
OK
Transcript Highlights:
- Lark, Vice Chair Harris, I protect more, I manager III.
- Hari, I protect more, I manager I. Close the queue to clear the vote. Received a due pass.
- Manager, hairs eye. Declare the vote. He received a majority vote.
- Manager, eye Harris, eye. Declare the vote. We'll see a majority vote. We will support your bills.
- Manager I Harris declares the vote. We received a jury vote.
Bills:
HB3765 , HB4324 , HB3678 , HB4170 , HB3495 , HB3040 , HB3062 , HB4140 , HB4106 , HB4109 , HB4104 , HB3581
Committee:
House Criminal Judiciary
Keywords:
property rights, forfeiture, noncitizen, land ownership, felony, public safety, criminal procedure, sentence modification, resentencing, judicial review, postconviction relief, district attorney, prosecutor, victim rights, victim notification, Department of Corrections, inmate rehabilitation, sentencing reform, life without parole, nonviolent offense
OK
Bills:
HB3765 , HB4324 , HB3678 , HB4170 , HB3495 , HB3040 , HB3062 , HB4140 , HB4106 , HB4109 , HB4104 , HB3581
Committee:
House Criminal Judiciary
Keywords:
property rights, forfeiture, noncitizen, land ownership, felony, public safety, criminal procedure, sentence modification, resentencing, judicial review, postconviction relief, district attorney, prosecutor, victim rights, victim notification, Department of Corrections, inmate rehabilitation, sentencing reform, life without parole, nonviolent offense
Summary:
The committee considered a series of criminal justice bills, many of them focused on penalties for theft, public safety, and offenses involving foreign ownership or riot-related conduct. House Bill 3765, as amended, increased the punishment from two to five years for certain felony conduct involving unlawfully acquired foreign land ownership, and was reported do pass. House Bill 4324, a prosecutor-initiated resentencing bill, was also reported do pass after brief explanation and no opposition. Other bills approved included HB 3678, expanding the definition of public officials to cover municipal and public school board members for purposes of harassment/intimidation protections; HB 417, increasing penalties for theft causing environmental damage from crude oil or gasoline; HB 3495, criminalizing straw purchases of land for foreign nationals; HB 3040, expanding “zone of safety” protections for children by adding places like skating rinks, youth recreation centers, pools, arcades, amusement parks, and water parks; HB 362, extending firearm-carry authority to retired municipal judges; HB 4140, creating a uniform felony penalty for firearm theft and possession of stolen firearms; HB 4106, lowering the grand larceny threshold to $900 and adding penalties for repeat petty larceny; HB 4109, creating a duty to report certain crime-related evidence and circumstances at hospitals and other facilities; and HB 4104, restructuring peeping-tom/voyeurism offenses and sex-offender registration consequences. Several of these bills were amended before passage, including HB 4106 and HB 4104, and HB 3581 was taken up later with a committee substitute and amendment before discussion of its riot-related provisions. The committee also laid over HB 3497 and HB 4142, and adjourned after reporting the remaining bills out with mostly unanimous or near-unanimous votes, typically do pass or do pass as amended.
TX
Transcript Highlights:
- A claim is a formal notice sent to the insurer or the party involved before a lawsuit is filed.
- Without insurance, it would have cost her $22 when we process the claim through...
- That's a $119 difference just because of the way the claim was processed.
- Utilization review that we created under this bill is for laboratory claim reviewers.
- Claims without the accountability safeguards designed to protect patients and physicians.
Bills:
HB854 , HB 1052 , HB1642 , HB2076 , HB3042 , HB3695 , HB3787 , HB4062 , HB4092 , SB213 , SB493 , SB896 , HB5519 , HB4635
Committee:
House Insurance
Keywords:
insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory